In life, many people only turn to the dentist for help when they are forced to do so. There is a common misconception that toothache is not a disease. In addition, the treatment of the dentistry often requires multiple follow-up visits and advance appointments. In this way, there may be embarrassing situations, such as the need to extract teeth depending on the condition, but it is also told that there are many conditions to be met for tooth extraction. Some people may think that tooth plucking is a minor surgery, and it is not easy to make an appointment to register, so the medical history will be concealed. This practice, in effect, puts itself in the midst of a health threat and can cause serious accidents. Therefore, before extracting teeth, you should understand the relevant contraindications and nursing knowledge.
Tooth extraction, in most cases, can be performed in a dental clinic, although the tooth extraction may seem like a minor operation, but this kind of surgery requires a decision based on the patient's health whether to pluck the tooth, or to make special preparations, such as what kind of anesthesia to choose, whether to require ECG monitoring, etc. Therefore, for safety, patients should truthfully answer the questions raised by the doctor and should not conceal the condition. To sum up, there are 12 special cases that should not be extracted or need to be postponed.
The first special case that requires special attention when plucking teeth is women who are menstruating. The conventional wisdom is that tooth extraction during menstruation may result in compensatory bleeding and that tooth extraction should be deferred. However, the medical community currently believes that the cause of blood clotting is that it contains prostaglandins and fibrinolytic enzymes from the endometrium, which has no effect on hemostasis after tooth extraction. Therefore, if multiple teeth are removed at a time, intravenous fluids can be considered to expand blood volume while preventing postoperative infection and swelling. In addition, patients with dysmenorrhea, who may aggravate their symptoms due to fearful emotions, can be relieved by sedative methods. The important point is that women who need to have their teeth extracted should explain to the doctor the amount of menstrual bleeding and dysmenorrhea so that special arrangements can be made.
The second special case that requires special attention when plucking teeth is in pregnant women. Usually, tooth extraction in the first 3 months of pregnancy is easy to induce miscarriage, and it may be more difficult to operate because of reactions such as nausea and vomiting. In the third trimester of pregnancy, it is difficult for pregnant women to sit in the surgical chair for a long time, and it may cause hypotension, posing a risk to themselves and their fetus. Therefore, tooth extraction should be avoided during pregnancy. At the same time, it should be noted that due to changes in hormone levels, the risk of periodontal disease and caries in pregnant women will increase, and oral hygiene needs to be paid attention to to avoid aggravation of periodontal disease.
When extracting teeth, the third special case that requires special attention is in patients with blood diseases, such as hemophilia or thrombocytopenic purpura, which may not stop after tooth extraction due to insufficient coagulation function, and it is not advisable to extract teeth until the condition is stable. In the fourth special case, patients with neurological diseases, who may have an attack due to tooth extraction, require a neurologist consultation before tooth extraction, evaluation of the condition, and sedation before tooth extraction. The sixth special case is that patients with infectious diseases, such as tuberculosis, may delay healing or lead to infection due to decreased immunity, etc., and should postpone tooth extraction.
The 7th special case that requires special attention when plucking teeth is hypertension, and if the systolic blood pressure exceeds 180 mmHg, or the diastolic blood pressure exceeds 100 mmHg, the tooth extraction should be postponed. The eighth special case is that patients with cardiac insufficiency, for example, when slightly moving or lying flat, feel panic and shortness of breath, and need to avoid tooth extraction. When tooth extraction is really necessary, anti-infection prevention treatment needs to be carried out before surgery, and special anesthesia arrangements should be made during tooth extraction. The 9th special case, in patients with oral tumors, should not extract teeth alone, usually when removing the tumor, and treating the teeth at the same time.
The 10th special case that requires special attention when extracting teeth is that patients undergoing radiation therapy should not be extracted within 1 year after the end of treatment. The 11th special case, is that diabetic patients, before the condition is stable, it is not advisable to extract teeth, so as not to cause infection, when it is necessary to extract teeth, you should consult a physician to evaluate the condition, and apply antibiotics before and after the extraction to prevent infection. The 12th case is that patients with liver or kidney disease, acute hepatitis or serious liver function damage, should not extract teeth, after the condition is stable, it is necessary to appropriately supplement vitamin K before tooth extraction to avoid bleeding. Patients with severe impairment of renal function cannot extract teeth, and those with milder diseases should pay attention to the prevention of bacteremia if they have been extracted. Tooth extraction, although it is an ordinary operation, but it is necessary to prevent accidents, in special cases, do not be impatient because of the unbearable toothache, should fully consider the health or disease of the whole body, listen to the opinions of professionals, according to their own situation, make appropriate arrangements and necessary preparations.
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Your health, my concern. Professionals observe health from a scientific and humanistic perspective, including a series of express reports, details, reminders, doubts, observations, opinions, historical stories, etc., with the content of the original works of the author Wei Hongling and the team. All forms of misappropriation and reproduction without permission will be refused, otherwise they will be prosecuted in accordance with relevant laws.